Individual provider Active NPI

Elibel Marie Abanilla

  • Family Nurse Practitioner
  • Derry, NH
National Provider Identifier
1043776511
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
091648-23 Issued in NH
Practice address
14A Tsienneto Road
Suite 200
Derry, NH 03038
Phone
(603) 404-6800
Fax
(603) 686-7244
NPI assigned
Feb 20, 2019
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001762 FL
Family Nurse Practitioner 363LF0000X RN2352375 MA
Family Nurse Practitioner 363LF0000X 091648-23 NH Primary

Addresses

Primary practice location

14A Tsienneto Road
Suite 200
Derry, NH 03038

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2937
Phone (603) 580-6753

Other practice location 1

354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321

Other practice location 2

41 Mall Rd
Burlington, MA 01805-1754
Phone (781) 744-8000

Other names 1

  • Maria Elibel Valero Bejerano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211011000574 MA Practitioner - Nurse Practitioner 4880092543 Reassigns benefits to 2 organizations
I20240816002360 NH Practitioner - Nurse Practitioner 4880092543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians
Lahey Clinic IncGroup PAC ID 2264336528, 1,381 clinicians

Practice addresses (Care Compare)

14 A Tsienneto Rd
Suite 200
Derry, NH 03038-1505
Phone (603) 404-6800

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11001762FLMDFamily Nurse Practitioner
091648-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc Current Accepting new patients
Core Physicians LLC CurrentSince Sep 9, 2024 Accepting new patients
Core Physicians, LLC CurrentSince Sep 9, 2024 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 10, 2024 Accepting new patients
Neurological Health Associates PastSince Feb 1, 2021 Accepting new patients
Neurological Health Associates, L.L.C. PastSince Feb 1, 2021 Accepting new patients
Derry Medical Center, PA PastSince Jan 1, 2024 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

14A Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 404-6800

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1043776511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND WAY FL 1",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332937",
            "telephone_number": "603-580-6753",
            "fax_number": "603-580-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14A TSIENNETO ROAD",
            "address_2": "SUITE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "603-404-6800",
            "fax_number": "603-686-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018431754",
            "country_code": "US",
            "telephone_number": "978-687-2321",
            "fax_number": "978-722-7287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018051754",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABANILLA",
        "first_name": "ELIBEL",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001762",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2352375",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "091648-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ELIBEL",
            "last_name": "BEJERANO",
            "middle_name": "VALERO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.